Ortho-Geriatrics - from Hospital to Community

The main goal of management for Geriatric fragility fractures is to achieve an optimal functional state with maximal independence in community. This cannot be achieved without a care pathway with Ortho-geriatric collaboration and community partnership. A clinical pathway management with medical-social collaboration for fragility fracture provides a cross-sector platform for healthcare and social professionals from different disciplines to organize their rehabilitation and support services in a coherent and consistent manner. Patient with fragility fractures discharged from Hospital will be referred to community partner with mutually-agreed assessment tools and training protocols, offering the best chance for successful outcomes in a cost-effective way. A seamless integration of medical, rehabilitation and social supports in a cross-sector clinical pathway. Lifestyle adjustment, social and community reintegration, and competence building of both patients and their caregivers optimize independence. In long run, it enhances the overall effectiveness of the local hospital and rehabilitation systems and facilitates aging in place.